The holder whose full name is Miller, Jesse K.,come from Lafayette IN,hold the Temporary PTA Permit license(NO.99053602A) which status is Superceded.
| Name | Miller, Jesse K. |
|---|---|
| License Number | 99053602A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |